Prosperous, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PROSPEROUS, LLC

Practice address

25935 Plaza Dr
Millsboro, DE 19966-6289

Phone

(302) 947-4111

Fax

(302) 595-3149

NPI assigned

Sep 24, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mariam Fouzia

Title

Managing Memeber

Phone

(267) 559-3001

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1013386697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1165",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197097165",
            "telephone_number": "267-559-3001",
            "fax_number": "302-595-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25935 PLAZA DR",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199666289",
            "telephone_number": "302-947-4111",
            "fax_number": "302-595-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPEROUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "FOUZIA",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "MANAGING MEMEBER",
        "authorized_official_telephone_number": "267-559-3001"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Millsboro, DE
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.